Individual provider Active NPI

Stephanie Vittitoe, LPCC

  • Professional Counselor
  • Georgetown, KY
National Provider Identifier
1356710669
Registry record updated Nov 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
260205 Issued in KY
Practice address
401 E Washington St
Georgetown, KY 40324-2161
Phone
(502) 724-9093
NPI assigned
Sep 16, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LPCCCA00220350 KY
Professional Counselor 101YP2500X 260205 KY Primary

Addresses

Primary practice location

401 E Washington St
Georgetown, KY 40324-2161

Mailing address

101 Arrowhead CT
Georgetown, KY 40324-8971

Other practice location 1

1099 S Broadway STE 260 AND 280
Lexington, KY 40504
Phone (859) 309-2384

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPCCCA00220350KYMDCounselor
260205KYMDProfessional Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1442361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572566400000",
    "number": "1356710669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 ARROWHEAD CT",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403248971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E WASHINGTON ST",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403242161",
            "telephone_number": "502-724-9093"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1099 S Broadway STE 260 AND 280",
            "address_purpose": "LOCATION",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40504",
            "country_code": "US",
            "telephone_number": "859-309-2384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VITTITOE",
        "first_name": "STEPHANIE",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-16",
        "last_updated": "2019-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "KY",
            "license": "LPCCCA00220350",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "260205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.